Florida Medicaid

Draft Rule General Medicaid policy Agency for Health Care Administration _____ Florida Medicaid Florida Medicaid General Medicaid policy Revised Date: Draft Rule i Table of Contents Introduction .. 1 Description .. 1 Definitions .. 1 General Provider Requirements .. 1 Eligibility Identification and Verification .. 1 Protecting Recipient Information .. 2 Right to Refuse Services .. 2 Solicitation (Patient Brokering) .. 2 Recipients or Providers that are Out of the Country .. 2 Out-of-State Services-Emergency .. 2 Out-of-State Services-Non-Emergency .. 2 Recipient Eligibility Information .. 3 Billing the Recipient .. 4 Billing for Missed Appointments .. 5 Billing for Administrative Costs.

This policy is intended for use by all providers that render services to eligible Florida Medicaid recipients, unless otherwise specified. For recipients enrolled in a managed care plan, providers should also refer to the recipient’s managed care plan for any additional requirements. This policy must be used in conjunction with any applicable

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